Preauthorization

Preauthorization, also called prior authorization, means a plan reviews a request before an item is delivered. CMS says its prior authorization program for certain DMEPOS items helps suppliers ensure that applicable Medicare coverage, payment and coding rules are met before delivery. Medicare.gov says a Medicare Advantage plan may require approval (prior authorization) for certain drugs or services. Medicare Advantage plans differ, so ask yours how it handles TENS units. Analgesic Healthcare offers a preauthorization form for TENS units for doctors and physical therapists on its preauthorization form page. A submitted form is a request, not a promise of coverage. Read how to get a TENS unit covered by insurance.